Mid-flexion stability in the anteroposterior plane is achieved with a medial congruent insert in cruciate-retaining total knee arthroplasty for varus ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-03-10

AUTHORS

Masanori Tsubosaka, Kazunari Ishida, Kazuki Kodato, Nao Shibanuma, Shinya Hayashi, Masahiro Kurosaka, Ryosuke Kuroda, Tomoyuki Matsumoto

ABSTRACT

PurposeThis study aimed to compare the intraoperative kinematics, especially for mid-flexion femorotibial anteroposterior (AP) stability, between newly developed medial congruent (MC) inserts and cruciate-retaining (CR) inserts in navigated cruciate-retaining total knee arthroplasty (CR-TKA).MethodsThirty consecutive patients with varus osteoarthritis undergoing CR-TKA using an image-free navigation system were enrolled. AP kinematics, the AP translation under manual maximum stress to the knee joint at 45° flexion, rotational kinematics, and varus–valgus laxity were evaluated using a navigation system and statistically compared between the MC and CR inserts.ResultsAP kinematic analysis showed that the femoral position with the CR insert was significantly anterior at a maximum extension to 45° flexion compared with the MC insert (p < 0.05). The amount of AP translation at 45° flexion with the MC insert was significantly smaller than that with the CR insert (p < 0.05). Rotational kinematics found that the tibial position at maximum extension was significantly externally rotated with the MC inserts than with the CR inserts. Varus–valgus laxity was comparable between the MC and CR inserts.ConclusionThe current results showed that greater mid-flexion AP stability was achieved with the MC inserts than with the CR inserts in CR-TKA. Intraoperative kinematics with the MC inserts more closely resembled those with preoperative conditions in CR-TKA.Level of evidenceIII, prospective comparative study. More... »

PAGES

467-473

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-020-05927-4

DOI

http://dx.doi.org/10.1007/s00167-020-05927-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1125550155

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32157363


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